The emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?
"If I stop sweating should call 911 or get to the Emergency Department quickly.”
"If this happens in the future, lying in cool water would be beneficial.”
“Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.”
"Drinking water is the best way to improve sodium intake.”
The Correct Answer is D
A. "If I stop sweating, I should call 911 or get to the Emergency Department quickly.” An absence of sweating can indicate heat stroke, a medical emergency.
B. "If this happens in the future, lying in cool water would be beneficial.” Cooling measures like cold baths, ice packs, and shade help reduce body temperature.
C. “Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.” Salt tablets can irritate the stomach and cause nausea, vomiting, and hypernatremia.
D. "Drinking water is the best way to improve sodium intake.” While water helps with rehydration, it does not replace lost sodium. Excessive water intake without electrolytes can cause hyponatremia, leading to confusion, seizures, or coma. Electrolyte-containing drinks (e.g., sports drinks, oral rehydration solutions) are better choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. During dialysis: Some drugs can bind to the dialysis membrane or be removed unpredictably.
B. Give as scheduled: If given before dialysis, the drugs may be removed from circulation.
C. After returning from dialysis: Dialysis removes medications from the bloodstream. Giving medications before dialysis may result in drug loss. Oral medications should be given after dialysis to ensure proper absorption and effectiveness.
D. Hold the medications for today and restart tomorrow: Unnecessary, as the client needs their medications post-dialysis.
Correct Answer is A
Explanation
A. Place the client on seizure precautions: Metabolic alkalosis can cause neuromuscular excitability, increasing the risk of seizures.
B. Encourage the client to breathe slowly: Slow breathing retains CO₂, which worsens alkalosis. The body needs hypoventilation, but this cannot be forced.
C. Plan to administer sodium bicarbonate to the client: Sodium bicarbonate worsens alkalosis and is only used in metabolic acidosis, not alkalosis.
D. Have the client breathe into a paper bag: This is a treatment for respiratory alkalosis, not metabolic alkalosis.
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